| Dwic Of Tampa Bay, Inc | |
|
313 Sw Pine Island Road Cape Coral FL 33991-2043 | |
| (239) 458-6755 | |
| (239) 772-0421 |
| Full Name | Dwic Of Tampa Bay, Inc |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 313 Sw Pine Island Road, Cape Coral, Florida |
| Authorized Official Name and Position | Joy Kimball (CONTRACT MANAGER) |
| Authorized Official Contact | 7633496740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dwic Of Tampa Bay, Inc 423 Fortress Blvd Morgantown WV 26508-1351 Ph: (304) 225-2500 | Dwic Of Tampa Bay, Inc 313 Sw Pine Island Road Cape Coral FL 33991-2043 Ph: (239) 458-6755 |
| NPI Number | 1427416908 |
|---|---|
| Provider Enumeration Date | 01/29/2016 |
| Last Update Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427416908 | NPI | - | NPPES |
| 018096900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
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